| NPI | 1225052160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 175270) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: MA 175270) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |