NPI | 1770141087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F431501) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: NY 431501) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2023-06-30 |