| NPI | 1104039767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 185694) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 185694) |
| 367A00000X Advanced Practice Midwife (Licence: MA 185694) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2016-07-20 |