| NPI | 1427587674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2350287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R2085573) |
| 363L00000X Nurse Practitioner (Licence: MA RN2350287) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-03-21 |