| NPI | 1144597071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2288876) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430588) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 21424) | |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2013-09-09 |