| NPI | 1144255852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 124533) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA 124533) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |