NPI | 1083263602 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 013096) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2287185) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2287185) | |
Enumeration Date | 2019-09-06 |
Last Update Date | 2024-06-23 |