NPI | 1730863036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2281732) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2281732) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2024-09-18 |