| NPI | 1730900291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2329795) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 140213) |
| 163W00000X Registered Nurse (Licence: MA RN2329795) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2025-03-17 |