| NPI | 1467175778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2365770) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA MCS007525B) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |