| NPI | 1003202334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2275119) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 056659-23) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2016-10-04 |