NPI | 1750822680 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN262938) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01681) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2019-05-30 |