| NPI | 1306634399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA RN2358764) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2358764) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |