| NPI | 1215628664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MA RN2389809) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2389809) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-09-18 |