NPI | 1760451108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 115436) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 115436) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2007-07-08 |