| NPI | 1073065587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2265231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN48331) |
| 363L00000X Nurse Practitioner (Licence: MA RN2265231) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-04-25 |