NPI | 1689126690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: NY 562297) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 562297-1) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2022-06-17 |