| NPI | 1134350424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 280324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 280324) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2011-09-15 |