| NPI | 1730548827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN98009) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 01682722) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2022-11-29 |