NPI | 1356016562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 090140-23) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2320470) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2022-12-29 |