NPI | 1477961589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285037) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2014012082) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-09-04 |