NPI | 1003312281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2278770) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN01799) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2024-09-12 |