NPI | 1740815448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2287524) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2287524) |
Enumeration Date | 2020-03-03 |
Last Update Date | 2021-03-31 |