| NPI | 1780668202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN239471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 239471) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2022-03-08 |