| NPI | 1356916266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 064834-21) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2274989) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |