NPI | 1649491655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN252799) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 252799) |
363L00000X Nurse Practitioner (Licence: MA A0806349) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2023-05-03 |