NPI | 1538722772 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 10470) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431134-1) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431134-1) | |
Enumeration Date | 2019-04-14 |
Last Update Date | 2023-03-31 |