| NPI | 1124828348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: MA RN2326832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2326832) |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |