| NPI | 1184934978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 067080-21) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN/NP2259447) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2013-09-25 |