| NPI | 1114745239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2385790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN324804) |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |