| NPI | 1235833674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2295597) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN229557) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-31 |