NPI | 1144985789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2306711) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306711) |
Enumeration Date | 2021-11-08 |
Last Update Date | 2023-02-24 |