| NPI | 1902492366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2311214) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 431921) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 431921) | |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2023-01-26 |