| NPI | 1073887832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 164587) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 164587) |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2018-05-24 |