NPI | 1912323387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430885) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 657397) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2022-06-23 |