| NPI | 1629524525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11904) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2299434) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-06-26 |