| NPI | 1083352249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: CT 144934) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: MA RN2355122) |
| 163WS0121X Registered Nurse Plastic Surgery (Licence: MA RN2355122) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: CT 144934) | |
| 163WH0200X Registered Nurse Home Health (Licence: MA RN2355122) | |
| 163WS0121X Registered Nurse Plastic Surgery (Licence: CT 144934) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |