| NPI | 1326080615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA 2293928) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MA 2293928) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 1445) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-11-04 |