| 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 |