| NPI | 1336753532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2356347) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN94545) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2021-09-23 |