NPI | 1225095086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0300X Registered Nurse, Nephrology (Licence: MA 109703) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VT 1010029135) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2010-08-11 |