NPI | 1073966701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN276769) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN276769) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN276769) | |
Enumeration Date | 2016-07-18 |
Last Update Date | 2022-03-08 |