| NPI | 1063707990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2296835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2296835) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2022-03-16 |