NPI | 1760095269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431818) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 276799) |
Enumeration Date | 2020-08-25 |
Last Update Date | 2025-04-16 |