| NPI | 1700635422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2314076) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MA CNA6423) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-05-15 |