NPI | 1831575661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291465) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00721) |
Enumeration Date | 2015-08-04 |
Last Update Date | 2018-11-06 |