| NPI | 1093473019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2351218) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2351218) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-07-10 |