NPI | 1952008831 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2385610) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2385610) |
Enumeration Date | 2023-02-13 |
Last Update Date | 2023-11-16 |