NPI | 1902076102 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2263381) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 335454) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2024-06-21 |