| NPI | 1619860426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN10026696) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: CT 194450) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-06-12 |