| NPI | 1417846544 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2355992) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2355992) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-10-03 |