NPI | 1841684206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2305965) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657492) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2016-05-19 |