| NPI | 1023135209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 204563) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA 204563) |
| 163WH0200X Registered Nurse, Home Health (Licence: MA 204563) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |