NPI | 1558094201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA RN2364868) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 1558094201) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95019469) | |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: CA 95019469) | |
Enumeration Date | 2022-07-08 |
Last Update Date | 2023-06-20 |