NPI | 1487199717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2361271) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2016-12-22 |
Last Update Date | 2022-03-01 |