| NPI | 1619639515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2352892) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NH 086076-21) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2021-10-07 |