| NPI | 1184175150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2261915) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MA RN2261915) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2020-10-29 |