| NPI | 1548421647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist Family Health (Licence: MA 229110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 229110) |
| 363L00000X Nurse Practitioner (Licence: MA 229110) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2009-08-18 |