NPI | 1427682582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2279906) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2279906) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2279906) | |
Enumeration Date | 2020-02-27 |
Last Update Date | 2025-09-16 |