| NPI | 1265697221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN267640) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NY F430417-1) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2022-09-21 |