| NPI | 1306256672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2264732) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2264732) | |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2020-11-30 |