NPI | 1568236636 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2293774) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2293774) |
Enumeration Date | 2023-11-09 |
Last Update Date | 2024-01-29 |