NPI | 1992282115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN215552) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: FL 9415485) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9415485) | |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL 9415485) | |
Enumeration Date | 2018-07-20 |
Last Update Date | 2025-07-24 |