| NPI | 1306810924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 204880) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 6759) |
| 363L00000X Nurse Practitioner (Licence: MA 204880) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 6759) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-06-18 |