| NPI | 1497591499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2360652) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 093455-21) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |