| NPI | 1558322628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN156182) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 156182) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2022-03-23 |