| NPI | 1487613576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 173775) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 173775) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-10-26 |