| NPI | 1164392940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2307666) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA RN2307666) |
| 163WC1500X Registered Nurse, Community Health (Licence: MA RN2307666) | |
| 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: MA RN2307666) | |
| 163WE0003X Registered Nurse, Emergency (Licence: MA RN2307666) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MA RN2307666) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2307666) | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |