| NPI | 1174056279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN57135) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MA E884735) |
| 163W00000X Registered Nurse (Licence: MA RN2304647) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |