| NPI | 1639568041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN272748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN272748) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2017-03-02 |