| NPI | 1790256469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 2290948) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R211101) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-05-06 |