| NPI | 1164418059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 165352) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: MA 165352) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2010-01-21 |