NPI | 1871923532 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2343625) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN001791) |
Enumeration Date | 2013-11-17 |
Last Update Date | 2024-02-21 |