| NPI | 1750141529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN101441) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 38049) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |