| NPI | 1881901742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2268453) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004659) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2022-01-07 |