| NPI | 1447037197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2300935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA Rn2300935) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2025-06-03 |