NPI | 1235152638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN152702) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA 152702) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN152702) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-04-24 |