| NPI | 1922786474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2328942) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MA RN2328942) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2025-11-04 |