NPI | 1063023620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2290566) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2290566) |
Enumeration Date | 2020-08-16 |
Last Update Date | 2024-11-05 |