NPI | 1932372570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA MCS006335B) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 804068) |
163WH0200X Registered Nurse, Home Health (Licence: TX 804068) | |
164W00000X Licensed Practical Nurse (Licence: MA 69259) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024185698) | |
Enumeration Date | 2008-04-03 |
Last Update Date | 2024-06-12 |