| NPI | 1649841537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 44069) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA ln44069) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-02 |