NPI | 1003159609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2290930) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2290930) |
Enumeration Date | 2013-04-02 |
Last Update Date | 2014-05-05 |