| NPI | 1821723875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2308581) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 166698) |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-10-19 |