| NPI | 1881140242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2299350) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 074342-21) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2018-03-26 |