NPI | 1477628527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN142625) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 142625) |
363LP0200X Nurse Practitioner Pediatrics (Licence: MA 142625) | |
Enumeration Date | 2006-11-22 |
Last Update Date | 2011-06-16 |