| NPI | 1790447670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2357618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2357618) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2026-06-30 |