| NPI | 1942492251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 070048-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2006007831-28) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2014-07-15 |