| NPI | 1396161097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2385588) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN91100) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2023-07-17 |