NPI | 1053854109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 086797-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 086797-23) |
363L00000X Nurse Practitioner (Licence: MA RN2312719) | |
Enumeration Date | 2016-11-22 |
Last Update Date | 2022-02-04 |