| NPI | 1992844393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA 216204) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner School (Licence: MA 216204) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-02-02 |