NPI | 1497457873 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN263110) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN263110) |
Enumeration Date | 2023-03-20 |
Last Update Date | 2023-08-04 |