| NPI | 1588390314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2332560) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2332560) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2022-09-28 |