NPI | 1285064287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN256653) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 062299-23) |
Enumeration Date | 2013-11-13 |
Last Update Date | 2015-04-23 |