NPI | 1073756821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 040723-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN225861) |
Enumeration Date | 2009-04-09 |
Last Update Date | 2019-11-08 |