| NPI | 1891566188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2336233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9392157) |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |