| NPI | 1104468974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2286257) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MA RN2286257) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-15 |