| NPI | 1518552074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2334572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN64457) |
| 163W00000X Registered Nurse (Licence: NY 779957) | |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2021-03-06 |