| NPI | 1528401494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN265412) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 005322) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-02-02 |