| NPI | 1679723233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA A1207149) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA A1207149) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |