| NPI | 1447365515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 113932) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: CO 169627) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-06-18 |