| NPI | 1407226384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2332284) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MA LN70084) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2021-04-19 |