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 |