NPI | 1922520972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN269919) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN269919) |
363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN269919) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2018-11-20 |