NPI | 1275873184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN264150) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN264150) |
363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN264150) | |
Enumeration Date | 2013-03-01 |
Last Update Date | 2014-09-18 |