NPI | 1285967968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN200920) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 042727-23) |
163W00000X Registered Nurse (Licence: MA RN200920) | |
Enumeration Date | 2009-09-11 |
Last Update Date | 2016-03-11 |