NPI | 1871639021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 130700) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 130700) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2018-09-26 |