| NPI | 1245982669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2337330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 08183421) |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |