NPI | 1386965119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN250596) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 250596) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2022-03-29 |