| NPI | 1033418116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA ln62477) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI LPN11082) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2016-07-24 |