| NPI | 1063842151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN264672) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN264672) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2024-06-27 |