| NPI | 1457322828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 156666) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 0557092312) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2013-03-06 |