| NPI | 1285642587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN169771) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 169771) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-01-12 |