NPI | 1962630657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430467) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F430467) |
Enumeration Date | 2009-07-01 |
Last Update Date | 2017-04-21 |