NPI | 1497061535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2258816) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 12966) |
363LF0000X Nurse Practitioner, Family (Licence: DC NP50001660) | |
Enumeration Date | 2010-08-26 |
Last Update Date | 2024-09-04 |