NPI | 1861549024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 205968) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 205968) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-06-29 |