| NPI | 1750777058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: MA RN2298756) |
| Additional Taxonomies | 163WM0102X Registered Nurse Maternal Newborn (Licence: MA RN2298756) |
| 163WP0200X Registered Nurse Pediatrics (Licence: MA RN2298756) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-07-27 |