| NPI | 1629162185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 172311) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NH 050895-23-05) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-12-18 |