NPI | 1447682208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 277710) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN277710) |
Enumeration Date | 2013-08-04 |
Last Update Date | 2016-11-10 |