| NPI | 1174392591 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 177126) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 902778) | 
| 163W00000X Registered Nurse (Licence: MA RN2387061) | |
| Enumeration Date | 2023-12-27 | 
| Last Update Date | 2023-12-27 |