NPI | 1811353709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285282) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00801) |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-03-25 |