NPI | 1972982577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291569) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2291569) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2291569) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2018-03-17 |