| NPI | 1114693090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2334292) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MA RN2334292) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2025-05-28 |