| NPI | 1134075328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN10036048) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 23318733) |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |