| NPI | 1548239890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 118798) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 118798) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-12-27 |