NPI | 1720684830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MA 230969) |
Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MA 230969) |
163W00000X Registered Nurse (Licence: MA 230969) | |
163WG0600X Registered Nurse, Gerontology (Licence: MA 230969) | |
Enumeration Date | 2020-12-05 |
Last Update Date | 2020-12-05 |