NPI | 1093048605 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2258275) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2258275) |
Enumeration Date | 2009-09-14 |
Last Update Date | 2013-06-05 |