NPI | 1093360521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2169136) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2169136) |
Enumeration Date | 2019-08-01 |
Last Update Date | 2019-08-01 |