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 |