| NPI | 1568958767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: MA RN201662) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MA RN201660) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |