NPI | 1194881789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN218295) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 218295) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2022-05-01 |