| NPI | 1538523329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2300689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2300689) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-06-19 |