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 |