NPI | 1881901742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2268453) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004659) |
Enumeration Date | 2010-09-13 |
Last Update Date | 2022-01-07 |