| NPI | 1235961251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2322004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 702646) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |