NPI | 1932756046 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN261055) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN261055) |
Enumeration Date | 2019-08-22 |
Last Update Date | 2021-04-10 |