NPI | 1013388834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN284116) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN284116) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2020-10-17 |