NPI | 1194822650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN241024) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 241024) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2022-10-11 |