| NPI | 1417793415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2334984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2025037868) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-12-04 |