| NPI | 1568292514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 164985) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MA 164985) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |