NPI | 1225549025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2274785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2274785) |
Enumeration Date | 2017-10-19 |
Last Update Date | 2023-10-30 |