NPI | 1003202334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2275119) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 056659-23) |
363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2275119) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2024-09-25 |