NPI | 1467990085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 081555-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN282048) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN282048) | |
Enumeration Date | 2017-02-02 |
Last Update Date | 2022-08-09 |