NPI | 1043763352 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 065433-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2266243) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2020-02-13 |