| NPI | 1346712817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2328268) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MA RN2328268) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |