| NPI | 1306128863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2284105) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004733) |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2023-06-09 |