| NPI | 1871306969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2372492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2372492) |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-04-22 |