NPI | 1649202441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 244610) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MA 2313) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-06-10 |