| NPI | 1477961589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2285037) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA 2014012082) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-09-04 |