NPI | 1578230280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432805) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001242277) |
Enumeration Date | 2021-08-30 |
Last Update Date | 2023-12-20 |