| NPI | 1013598291 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN167734)  | 
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MA RN167734)  | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 167734)  | |
| Enumeration Date | 2021-04-19 | 
| Last Update Date | 2021-07-22 |