| NPI | 1881601037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN205557) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN205557) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 205557) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-10-31 |