| NPI | 1093917213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN169231) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 002903) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2019-06-14 |