| NPI | 1205647070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN10016992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 113134-21) |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-01-20 |