| NPI | 1861225914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2367473) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 198786) |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |