| NPI | 1104667823 |
|---|---|
| Former Name | ANDREA LAUREN LYSTILA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2344814) |
| Additional Taxonomies | 163WX1500X Registered Nurse, Ostomy Care (Licence: MA RN2344814) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-07-31 |