NPI | 1265055974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2315844) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 124189) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2020-05-28 |