| NPI | 1558194464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2317220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2317220) |
| 363L00000X Nurse Practitioner (Licence: MA RN2317220) | |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-04-21 |