NPI | 1609206739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2277292) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2277292) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2277292) | |
Enumeration Date | 2013-11-27 |
Last Update Date | 2025-04-07 |