| NPI | 1962115519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2346673) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2346673) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MA RN2346673) | |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2025-06-03 |