NPI | 1518452754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MA RN2312890) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2312890) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2018-12-27 |