NPI | 1780659268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN176603) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN176603) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA 176603) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: RI APRN00285) | |
Enumeration Date | 2006-02-20 |
Last Update Date | 2024-05-13 |