NPI | 1982182879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN274222) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN274222) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2023-11-02 |