| NPI | 1396674057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2323065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 075860-21) |
| Enumeration Date | 2026-05-18 |
| Last Update Date | 2026-05-18 |