| NPI | 1750613048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP131081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN280793) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2013-10-30 |