| NPI | 1609557768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.203222) |
| 163W00000X Registered Nurse (Licence: MA RN2379252) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-08-01 |