| NPI | 1730233610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA 150388) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MA 150388) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |