NPI | 1639715410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2288099) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2288099) |
Enumeration Date | 2019-11-27 |
Last Update Date | 2022-10-31 |