| NPI | 1578953816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN255478) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN255478) |
| 163WS0200X Registered Nurse, School (Licence: MA RN255478) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-11-13 |