| NPI | 1568421006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 027211-23-05) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 92779) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-11-08 |