NPI | 1841226107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 028804-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 175115) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2017-03-13 |