| NPI | 1063484194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2259133) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI RN-28382) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2009-06-11 |