| NPI | 1861408882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN168131) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN168131) |
| 363L00000X Nurse Practitioner (Licence: CT 8151) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-05-22 |