| NPI | 1194312272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2333969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN63409) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2020-12-23 |