| NPI | 1396934386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 251189) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: MA 251189) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2013-11-05 |