NPI | 1346783669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN271526) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN271526) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN271526) | |
Enumeration Date | 2016-11-18 |
Last Update Date | 2024-07-25 |