NPI | 1972653426 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN233010) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 233010) |
363L00000X Nurse Practitioner (Licence: MA RN233010) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2022-11-01 |