| NPI | 1851383319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2266370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM R 46289) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2013-05-07 |