| NPI | 1457147233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2281377) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9601635) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |