| NPI | 1679451322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2382739) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: MA 00398817) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |