NPI | 1104131010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN271015) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 271015) |
363L00000X Nurse Practitioner (Licence: MA RN271015) | |
Enumeration Date | 2010-08-16 |
Last Update Date | 2023-10-17 |