| NPI | 1982033288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2285258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2285258) |
| 163WC1500X Registered Nurse, Community Health (Licence: MA RN2285258) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2025-11-25 |