NPI | 1528509585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN233388) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9173616) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2025-09-23 |