| NPI | 1093420820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA rn2334398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn9576891) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-17 |