| NPI | 1528340098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2263048) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2263048) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2012-07-19 |