NPI | 1619149564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN182108) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 182108) |
Enumeration Date | 2008-04-01 |
Last Update Date | 2020-04-27 |