NPI | 1285074278 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2366571) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 071464-23) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2024-04-30 |