NPI | 1811351281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431117) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 704943) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2022-08-19 |