| NPI | 1275513525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 146907) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9201848) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2013-08-02 |