| NPI | 1154123834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2331292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 086817-21) |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |