| NPI | 1184407611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2357013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2357013) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2357013) | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-16 |