| NPI | 1710862461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 79223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2337100) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |