| NPI | 1952919250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2294337) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MA RN2294337) |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2021-05-03 |