NPI | 1801302294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2306086) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2306086) |
Enumeration Date | 2017-12-20 |
Last Update Date | 2024-10-31 |