NPI | 1558799494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2277205) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 522839) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2024-03-11 |