NPI | 1023602158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33829) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2323244) |
163W00000X Registered Nurse (Licence: FL RN9426520) | |
363L00000X Nurse Practitioner (Licence: MA RN2323244) | |
Enumeration Date | 2021-03-01 |
Last Update Date | 2023-10-22 |