| NPI | 1487051413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2324995) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 53093) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2022-06-11 |