NPI | 1992377345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2350822) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2350822) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2023-05-12 |