| NPI | 1912798992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MA RN2318177) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2318177) |
| Enumeration Date | 2025-05-16 |
| Last Update Date | 2026-07-20 |