| NPI | 1457435638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 187339) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 003447) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-12-08 |