| NPI | 1174264691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2316610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2316610) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-02-04 |