| NPI | 1235105792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN166611) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 166611) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-12-17 |