NPI | 1609492115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN256340) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 256340) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2023-06-29 |