| NPI | 1285949941 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 054080-23)  | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 251133)  | 
| Enumeration Date | 2010-08-18 | 
| Last Update Date | 2013-02-12 |