| NPI | 1952564981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 255880) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA 2007007224-28) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2014-01-31 |