NPI | 1801354501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2260677) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2260677) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2023-09-26 |