| NPI | 1528098225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 92091) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AK 3101566620) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |