| NPI | 1922818129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2318315) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 076865-23) |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2026-07-15 |