| NPI | 1972653426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN233010) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 233010) |
| 363L00000X Nurse Practitioner (Licence: MA RN233010) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2022-11-01 |