| NPI | 1417098898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN216625) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 003481) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-11-04 |