| NPI | 1306468848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2388044) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN97018) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2026-07-12 |