| NPI | 1518765080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2353878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2353878) |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2026-03-27 |