NPI | 1629738638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 433160) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP025056) |
Enumeration Date | 2021-12-19 |
Last Update Date | 2025-03-19 |