| NPI | 1114741154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2371479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2371479) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-11-23 |