| NPI | 1306175401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 238634) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA 238634) |
| 163WX0200X Registered Nurse, Oncology (Licence: MA 238634) | |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |