| NPI | 1982351987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN99731) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI LPN12493) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-03-09 |