| NPI | 1053100800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN10019109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN10019109) |
| 163W00000X Registered Nurse (Licence: MI 4704364142) | |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-08-26 |