NPI | 1003242900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN199773) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 199773) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2024-10-30 |