| NPI | 1336032275 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2337830)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337830)  | 
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2337830)  | |
| Enumeration Date | 2025-05-30 | 
| Last Update Date | 2025-08-06 |