| NPI | 1568350718 |
|---|---|
| Former Name | IRENE PLACIDAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2374428) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2374428) |
| 163W00000X Registered Nurse (Licence: MA RN2374428) | |
| 163W00000X Registered Nurse (Licence: VA 0001307912) | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-10-02 |