| NPI | 1114999117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN161737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 161737) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2017-10-04 |