NPI | 1386303956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2350025) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 076516-21) |
363LF0000X Nurse Practitioner, Family (Licence: NH 076516-23) | |
Enumeration Date | 2021-12-10 |
Last Update Date | 2025-01-14 |