| NPI | 1174849467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 158074) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA 158074) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2014-06-04 |