| NPI | 1679349211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2340465) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MA RN2340465) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |