| NPI | 1073649828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 207132) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA 207132) |
| 364S00000X Clinical Nurse Specialist (Licence: MA 207132) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |