| NPI | 1407199805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2277595) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2277595) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-10-01 |