NPI | 1922742030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2298978) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2298978) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-01-20 |