| NPI | 1104386978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 963136) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2323157) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MA RN2323157) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2323157) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |