NPI | 1245027002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 090976-21) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2373454) |
Enumeration Date | 2025-04-23 |
Last Update Date | 2025-04-23 |