| NPI | 1740697960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 087881-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2329856) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: AZ TAP5715) | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2022-10-26 |