NPI | 1497078299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ME CNP181213) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN264145) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2019-07-17 |