| NPI | 1568335933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN10012351) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN790218) |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |