NPI | 1609355338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2312660) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 2312660) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2024-06-25 |