NPI | 1851057368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VT 026.0151047) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2313572) |
Enumeration Date | 2021-11-10 |
Last Update Date | 2025-03-11 |