| NPI | 1265055974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2315844) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 124189) |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |