| NPI | 1548226731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 130321) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 130321) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-03-07 |