| NPI | 1669876462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN199726) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN199726) |
| 163WS0200X Registered Nurse, School (Licence: MA RN199726) | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |