NPI | 1518842079 |
---|---|
Former Name | SISY JOHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2263665) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2263665) |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-08-06 |