NPI | 1972284271 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2316557) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 076395-23) |
Enumeration Date | 2023-07-28 |
Last Update Date | 2023-12-01 |