| NPI | 1215521653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA RN-TEMP4682) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN-TEMP4682) |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |