| NPI | 1154500189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 070479-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MA 252353) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2014-10-20 |