NPI | 1679714208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2258272) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2258272) |
Enumeration Date | 2009-03-11 |
Last Update Date | 2021-03-29 |