NPI | 1902816911 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 182438) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 182438) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2011-05-17 |