NPI | 1477009603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN233724) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN233724) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2024-11-01 |