NPI | 1669692661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 235651-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 235651-NP) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2022-03-24 |