| NPI | 1073263133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN215044) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN215044) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-06-10 |