| NPI | 1639509300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN269614) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 23603) |
| Enumeration Date | 2013-11-17 |
| Last Update Date | 2017-03-26 |