| NPI | 1447030283 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MA 2024055766) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001336667) | 
| 163WG0000X Registered Nurse, General Practice (Licence: MA RN2371552) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024193348) | |
| Enumeration Date | 2023-09-29 | 
| Last Update Date | 2025-05-29 |