NPI | 1326175548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN198689) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN198689) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2021-04-14 |