NPI | 1730530908 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2265833) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 072853-23) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG0011791) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-04-09 |