NPI | 1982851341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN256744) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN256744) |
363LF0000X Nurse Practitioner, Family (Licence: MA RN256744) | |
Enumeration Date | 2008-08-27 |
Last Update Date | 2022-03-21 |