NPI | 1558167684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432912) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 13257) |
Enumeration Date | 2025-02-20 |
Last Update Date | 2025-02-20 |