| NPI | 1295597011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2322052) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MA RN2322052) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-11-14 |