| NPI | 1609081850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 138442) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: MA 138442) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2010-10-20 |