NPI | 1356041404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2317438) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2317438) |
Enumeration Date | 2023-03-07 |
Last Update Date | 2024-06-17 |