| NPI | 1396364766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RM2295701) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2295701) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2024-03-05 |