| NPI | 1295079192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2376258) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN88052) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2023-09-12 |