NPI | 1902689805 |
---|---|
Professional Name | RAINA BASAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302912) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2302912) |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-10-31 |