| NPI | 1376694083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN252428) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 252428) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2017-03-06 |