NPI | 1245240068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 234418) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI npp37309) |
207X00000X Orthopaedic Surgery (Licence: MA RN234418) | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2022-02-16 |