| NPI | 1659091551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2340408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2340408) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-03-25 |