| NPI | 1598141467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2308897) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN86820) |
| 164W00000X Licensed Practical Nurse (Licence: MA LPN10800) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2016-07-16 |