NPI | 1194530485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2377592) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2377592) |
Enumeration Date | 2025-02-12 |
Last Update Date | 2025-04-14 |