| NPI | 1407824873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN204685) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 204685) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2022-03-21 |