| NPI | 1902601008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA F02250143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2325649) |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-04-03 |