NPI | 1932810553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 432520) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432520) |
363LA2200X Nurse Practitioner, Adult Health (Licence: AL 1-135432) | |
Enumeration Date | 2022-12-06 |
Last Update Date | 2023-12-31 |