NPI | 1710522404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN279319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 279319) |
Enumeration Date | 2019-11-17 |
Last Update Date | 2019-11-17 |