NPI | 1881601037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN205557) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN205557) |
363LA2200X Nurse Practitioner Adult Health (Licence: MA 205557) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2022-10-31 |