NPI | 1770082992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269151) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2269151) |
Enumeration Date | 2018-02-02 |
Last Update Date | 2023-11-16 |