| NPI | 1508233016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN236452) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN236452) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |