| NPI | 1063284099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 151405) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MA 151405) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |