NPI | 1871154112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2299206) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2299206) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2022-02-02 |