NPI | 1417612896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2277045) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2277045) |
Enumeration Date | 2021-11-01 |
Last Update Date | 2024-01-17 |