| NPI | 1538117064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 238088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 238088) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-02-03 |