| NPI | 1730577800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN23077813) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R214227) |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2016-07-06 |