NPI | 1922048073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2269965) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333230-1) |
363LF0000X Nurse Practitioner, Family (Licence: CT 002938) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2021-03-03 |