NPI | 1235851684 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2288636) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2288636) |
Enumeration Date | 2022-09-13 |
Last Update Date | 2023-08-24 |