| NPI | 1326015496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 184698) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: RI 37104) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2018-03-17 |