NPI | 1245009117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2023166240) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2363429) |
Enumeration Date | 2023-12-20 |
Last Update Date | 2023-12-20 |