NPI | 1093024432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2266328) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 008362) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2019-11-11 |