NPI | 1073771887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 207009) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN207009) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2024-10-23 |