NPI | 1194958074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2009005692) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA BRU104345310) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2017-05-08 |