| NPI | 1003524679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2371836) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN78352) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2024-05-11 |