| NPI | 1740939099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2325328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2325328) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN2325328) | |
| 163WE0003X Registered Nurse, Emergency (Licence: MA RN2325328) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2325328) | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-08-14 |