| NPI | 1932990082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2301180) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2301180) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2025-06-02 |