NPI | 1114741154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2371479) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2371479) |
Enumeration Date | 2024-11-14 |
Last Update Date | 2024-11-14 |