| NPI | 1609042746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN213992) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 213992) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-06-01 |