NPI | 1750813713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2272655) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01559) |
Enumeration Date | 2017-03-29 |
Last Update Date | 2021-05-19 |