NPI | 1568820595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 086867-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2262174) |
163W00000X Registered Nurse (Licence: MA RN2262174) | |
Enumeration Date | 2016-02-04 |
Last Update Date | 2023-09-13 |