| NPI | 1265225205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2325387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN72745) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-06-30 |