NPI | 1689073603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 113844-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259138) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2025-05-05 |