NPI | 1225497431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2262189) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015913) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |