| NPI | 1255528162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN238053) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 238053) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 238053) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2016-05-24 |