| NPI | 1710705777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN10008107) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN10008107) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-11-03 |