| NPI | 1770936494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2283019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 067660-21) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |