| NPI | 1033287834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 266948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 039686-23) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2014-10-06 |