| NPI | 1952007494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN-COND101526) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NH 018798-22) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |