NPI | 1548282718 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 161092) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 053094-23-05) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2013-03-14 |