| NPI | 1952643470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN264830) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430786) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN264830) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2022-06-13 |