NPI | 1235677550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 201523) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 201523RN) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2019-01-02 |