| NPI | 1033697214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 74471) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN92492) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |