NPI | 1972509545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 211741) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 211741) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2007-07-09 |