NPI | 1821055773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA 197514) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 197514) |
363LA2200X Nurse Practitioner Adult Health (Licence: MA 197514) | |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 197514) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2024-10-04 |