| NPI | 1649898065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2294856) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 12539) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-11-03 |