| NPI | 1497480222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN252861) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN252861) |
| 363LF0000X Nurse Practitioner Family (Licence: MA RN252861) | |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2025-07-15 |