NPI | 1780668202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN239471) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 239471) |
Enumeration Date | 2005-11-30 |
Last Update Date | 2022-03-08 |