NPI | 1487024980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2266809) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA RN2266809) |
Enumeration Date | 2015-09-28 |
Last Update Date | 2016-04-25 |