NPI | 1831711894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431712) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 702004) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NY 431712) | |
Enumeration Date | 2020-05-13 |
Last Update Date | 2020-08-21 |