| NPI | 1497078299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME CNP181213) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN264145) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2019-07-17 |