| NPI | 1073755393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 272473) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010239) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R199799) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2016-02-14 |