| NPI | 1225005713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 149031) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MA 149031) |
| 174H00000X Health Educator (Licence: MA 149031) | |
| 163W00000X Registered Nurse (Licence: MA 149031) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2017-01-29 |