| NPI | 1861016719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2311357) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2311357) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-08 |