NPI | 1790821064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 232168) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 232168) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2016-12-22 |