| NPI | 1205534955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA MA-2356521) |
| Additional Taxonomies | 163WC1400X Registered Nurse, College Health (Licence: MA MA-2356521) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |