| NPI | 1093111577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2320595) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2320595) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430831) | |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2018-10-12 |