| NPI | 1528820974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA rn2326942) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA rn2326942) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MA rn2326942) | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |