| NPI | 1912893975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2310391) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2310391) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-08-07 |