| NPI | 1659824209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2288813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 068379-21) |
| 163W00000X Registered Nurse (Licence: MA RN2288813) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 068379-23) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2288813) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-12-30 |