NPI | 1609395698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432716) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 730427) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2023-09-22 |