NPI | 1255767059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2289608) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2289608) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2013-10-05 |