NPI | 1497216006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2261899) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2261899) |
Enumeration Date | 2019-03-27 |
Last Update Date | 2022-03-23 |