NPI | 1437725801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2327970) |
Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MA RN2327970) |
Enumeration Date | 2021-05-27 |
Last Update Date | 2021-08-12 |