| NPI | 1922476688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2270303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064299-21) |
| 163W00000X Registered Nurse (Licence: NY 642900) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2270301) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |