NPI | 1558884080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431283) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 717506-1) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 431283) | |
Enumeration Date | 2017-07-17 |
Last Update Date | 2023-11-28 |