| NPI | 1063743961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ME AP101004) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: DC RN1002135) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MD AC000471) | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-02-18 |