| NPI | 1982799649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 028341-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 129740) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-11-05 |