| NPI | 1972742930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse Gerontology (Licence: MA RN2258380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2258380) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-03-30 |