| NPI | 1043647613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285567) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2285567) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2023-11-02 |