NPI | 1023425055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 257793) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2266015) |
Enumeration Date | 2014-07-22 |
Last Update Date | 2024-10-24 |