NPI | 1043804255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F432459-01) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2324806) |
Enumeration Date | 2021-02-28 |
Last Update Date | 2023-07-13 |