NPI | 1386918282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310928) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337113-1) |
Enumeration Date | 2012-02-24 |
Last Update Date | 2021-07-02 |