| NPI | 1558431015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN211219) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 211219) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-12-10 |