NPI | 1700550373 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432194) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 780628-01) |
163W00000X Registered Nurse (Licence: VT 0260125721) | |
363L00000X Nurse Practitioner (Licence: NY 432194) | |
Enumeration Date | 2021-08-05 |
Last Update Date | 2023-01-23 |