NPI | 1962959205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2309341) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2309341) |
Enumeration Date | 2016-09-02 |
Last Update Date | 2023-05-11 |