| NPI | 1598738742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 20777) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 258409) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304491) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-01-10 |