| NPI | 1972510691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 102755) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA 102755) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-10-10 |