| NPI | 1194601716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2370782) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: MA RN2370782) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2025-08-12 |