| NPI | 1740486026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 275700) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 275700) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2022-05-03 |