| NPI | 1811370620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 177083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN177083) |
| 208M00000X Hospitalist (Licence: MA 177083) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2023-06-26 |