| NPI | 1124806914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN92563) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ME PN13004) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-09-22 |