NPI | 1972149987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2338460) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2019-11-25 |
Last Update Date | 2021-03-01 |