| NPI | 1477526325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 047409-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 96486) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-12-11 |