NPI | 1235370016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN192310) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: RI NPP37477) |
Enumeration Date | 2009-03-09 |
Last Update Date | 2010-07-27 |