| NPI | 1275512857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN150940) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 150940) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN150940) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2022-05-01 |