| NPI | 1811278559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN276482) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430649-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN276482) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2018-12-11 |