NPI | 1881658813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2324846) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201083) |
363LF0000X Nurse Practitioner, Family (Licence: NC RN 154960) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9304053) | |
363LF0000X Nurse Practitioner, Family (Licence: NC 154960) | |
Enumeration Date | 2006-04-14 |
Last Update Date | 2023-03-06 |