| NPI | 1073201620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2375775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN56318) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-31 |