NPI | 1841717915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2316896) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MA RN2316896) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2025-07-24 |