NPI | 1528650108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN10009817) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61317200) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5017598) | |
Enumeration Date | 2021-02-05 |
Last Update Date | 2024-11-20 |