| NPI | 1053047738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2348444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN69315) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |