| NPI | 1114975000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 184424) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MA 184424) |
| 163WG0600X Registered Nurse, Gerontology (Licence: MA 184424) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-12-05 |