| NPI | 1518364579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2296631) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2296631) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 14497) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2025-04-10 |