NPI | 1245689868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 071114-23) |
Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MA 277198) |
363LA2100X Nurse Practitioner Acute Care (Licence: MA RN277198) | |
Enumeration Date | 2016-06-04 |
Last Update Date | 2018-12-18 |