| NPI | 1790660850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2280912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT RN216038) |
| 163W00000X Registered Nurse (Licence: PA RN625590) | |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |