NPI | 1326393646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2268549) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2268549) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2018-09-24 |