| NPI | 1780411702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN252729) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA RN252729) |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-14 |