NPI | 1649796509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2306552) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306552) |
Enumeration Date | 2017-08-22 |
Last Update Date | 2018-03-17 |