| NPI | 1356418131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN1006671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6662) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2026-07-24 |