| NPI | 1518157205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 236104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 236104) |
| 363L00000X Nurse Practitioner (Licence: MA 236104) | |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2018-08-02 |