| NPI | 1265327837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2025031815) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MA CNM09868) |
| 163W00000X Registered Nurse (Licence: MA RN10013824) | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-11-13 |