| NPI | 1871244764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2358310) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 12814) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2358310) | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-11-22 |