NPI | 1083742852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 187753) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 003495) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2017-12-08 |