| NPI | 1114173044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 262720) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 262720) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-10-11 |