| NPI | 1750832861 |
|---|---|
| Former Name | ISANDRA TAVARES DOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2380583) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-03-24 |