NPI | 1609040153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN181141) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 181141) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2022-03-08 |