NPI | 1932585692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MA RN2328174) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 9401676) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2020-11-06 |