| NPI | 1225496656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2258902) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2258902) |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2022-12-12 |