| NPI | 1487892097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 182283) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: MA 182283) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NH 06582823) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2013-11-01 |