| NPI | 1760483143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: MA 69618) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 69618) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |