| NPI | 1548221773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 101156) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 101156) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2014-01-13 |