| NPI | 1821055773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 197514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 197514) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MA 197514) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 197514) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2014-09-05 |