NPI | 1255140687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2372353) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2372353) |
Enumeration Date | 2024-12-31 |
Last Update Date | 2025-01-20 |