| NPI | 1700534542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: MA 161609) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 161609) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |