| NPI | 1104875376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2307306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN61064) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2023-02-06 |