NPI | 1043438013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 191864) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 191864) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2017-04-07 |