| NPI | 1780821942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN251626) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MA 021705673a) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-14 |