| NPI | 1396342523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: MA RN216532) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MA RN216532) |
| 163WH0200X Registered Nurse Home Health (Licence: MA RN216532) | |
| 163WP0200X Registered Nurse Pediatrics (Licence: MA RN216532) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |