NPI | 1598327702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2327072) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA F06191029) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2019-10-14 |