| NPI | 1215777115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 2334799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 72222) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |