| NPI | 1952918385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2367393) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN93951) |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2022-07-12 |