| NPI | 1407230030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9490) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN281958) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9490) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN281958) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-01-02 |