NPI | 1598380974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2335080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2335080) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2335080) | |
Enumeration Date | 2020-06-11 |
Last Update Date | 2022-04-05 |