| NPI | 1851942395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN98108) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI LPN11851) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-09-23 |