NPI | 1801633532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2357048) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 086652-21) |
163W00000X Registered Nurse (Licence: MA RN2357048) | |
Enumeration Date | 2024-07-10 |
Last Update Date | 2024-10-08 |