| NPI | 1942063045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse Medical-Surgical (Licence: MA RN266750) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MA RN266750) |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |