| NPI | 1811884570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2335729) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 2000640858) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-08-15 |