| NPI | 1114109808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 067174-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 164940) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2019-01-15 |