NPI | 1275513525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 146907) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9201848) |
Enumeration Date | 2006-01-20 |
Last Update Date | 2013-08-02 |