| NPI | 1164307815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2315056) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: MA RN2315056) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-09-15 |