NPI | 1144736182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN279573) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN279573) |
Enumeration Date | 2017-12-27 |
Last Update Date | 2022-04-21 |