| NPI | 1073223848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2389242) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN96210) |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-07-19 |