| NPI | 1124828801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2333758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 093013-21s) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |