NPI | 1679539704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 129765) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 129765) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2009-03-12 |