NPI | 1043572472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 229951) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 229951) |
Enumeration Date | 2012-06-12 |
Last Update Date | 2019-04-23 |