| NPI | 1972284271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2316557) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 076395-23) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-05-29 |