| NPI | 1659625655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN261095) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CA NP19320) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |