| NPI | 1255141859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2349670) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MA RN2349670) |
| 163WC0400X Registered Nurse, Case Management (Licence: MA RN2349670) | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-08 |