| NPI | 1922818129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 076865-21) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2318315) |
| 163W00000X Registered Nurse (Licence: MA N2318315) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2026-03-11 |