NPI | 1740729029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F308555) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NY 692632-1) |
Enumeration Date | 2017-02-19 |
Last Update Date | 2018-05-18 |