| NPI | 1073966701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN276769) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN276769) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN276769) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2022-03-08 |