NPI | 1285032813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN273031) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN273031) |
163W00000X Registered Nurse (Licence: MA RN273031) | |
Enumeration Date | 2014-12-14 |
Last Update Date | 2024-08-07 |