| NPI | 1295708550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 181022) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 181022) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2009-12-22 |