| NPI | 1235012618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN10012127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 112517-21) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |