| NPI | 1053854109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 086797-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 086797-23) |
| 363L00000X Nurse Practitioner (Licence: MA RN2312719) | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2022-02-04 |