| NPI | 1497619555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2340499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 812784) |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |