| NPI | 1568179307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2348180) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2348180) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-01-24 |