| NPI | 1093146144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2264807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005451) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005451) | |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2021-09-17 |