| NPI | 1104437334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA RN237419) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11007163) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN237419) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2024-03-29 |