| NPI | 1124824420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2362747) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2362747) |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-05-06 |