| NPI | 1720702459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: MA 163WG0000X) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MA 163WC0400X) |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: MA 163WM0705X) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA 163WP0809X) | |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |