| NPI | 1952023715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2292160) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2292160) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2025-01-14 |