| NPI | 1275182131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2335757) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 125046) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2335757) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-11-11 |