| NPI | 1083209688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2318605) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MA RN2318605) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-05-16 |