NPI | 1356753115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2305502) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 681361) |
Enumeration Date | 2014-05-28 |
Last Update Date | 2017-04-19 |