NPI | 1801424916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432714) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 098612) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9238) | |
Enumeration Date | 2020-04-01 |
Last Update Date | 2023-08-15 |