NPI | 1700020963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431013) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 543793) |
Enumeration Date | 2009-04-30 |
Last Update Date | 2019-07-17 |