NPI | 1447620588 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2329304) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI RN49817) |
Enumeration Date | 2015-10-01 |
Last Update Date | 2020-02-19 |