NPI | 1174995377 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2301561) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2301561) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2022-09-08 |