NPI | 1699472217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2333782) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA AG01230091) |
Enumeration Date | 2023-02-14 |
Last Update Date | 2023-05-18 |