NPI | 1164076899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA pending) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2288027) |
Enumeration Date | 2019-07-31 |
Last Update Date | 2023-09-01 |