NPI | 1336032275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2337830) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337830) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2337830) | |
Enumeration Date | 2025-05-30 |
Last Update Date | 2025-08-06 |