| NPI | 1205595659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 083978-21) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2311687) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |