| NPI | 1518051473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN251611) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 28756) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2018-01-25 |