NPI | 1972294296 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NY 432689) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 742890) |
Enumeration Date | 2023-05-17 |
Last Update Date | 2023-06-16 |