| NPI | 1437588803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2680606) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NH # 055508-23) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2021-08-11 |