| NPI | 1669571121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 142072) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 142072) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-22 |