NPI | 1730148628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 251352) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 251352) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2008-05-06 |