NPI | 1255985727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2321155) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072061-23) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2024-01-03 |