| NPI | 1508090440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 230374) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN230374) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-08 |