NPI | 1467411421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 179803) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 179803) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2021-01-05 |