| NPI | 1386362614 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA rn239176)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN239176)  | 
| Enumeration Date | 2022-08-22 | 
| Last Update Date | 2025-01-10 |