NPI | 1689903452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN272649) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 2009007600) |
Enumeration Date | 2009-12-08 |
Last Update Date | 2019-11-22 |