NPI | 1427587674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2350287) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R2085573) |
363L00000X Nurse Practitioner (Licence: MA RN2350287) | |
Enumeration Date | 2017-06-09 |
Last Update Date | 2022-03-21 |