| NPI | 1598641110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2359929) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA rn2359929) |
| 227900000X Respiratory Therapist, Registered (Licence: MA RT11171) | |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |