| NPI | 1083263602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CT 013096) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2287185) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2287185) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-06-23 |