NPI | 1720817943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F433147-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 666456) |
Enumeration Date | 2024-07-27 |
Last Update Date | 2024-11-10 |