NPI | 1720531320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 073965-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN277971) |
Enumeration Date | 2016-07-31 |
Last Update Date | 2016-07-31 |