NPI | 1679957401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2299928) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01662) |
Enumeration Date | 2015-07-10 |
Last Update Date | 2023-02-21 |