| NPI | 1013407147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2291642) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0041669) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2291642) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2291642) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 090974-23) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: MA RN2291642) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2026-03-05 |