NPI | 1205334166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2288562) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2288562) |
Enumeration Date | 2018-01-25 |
Last Update Date | 2019-06-20 |