| NPI | 1215811492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2354400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN74226) |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |