NPI | 1992294219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2299675) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2299675) |
163WC0400X Registered Nurse, Case Management (Licence: MA RN2299675) | |
Enumeration Date | 2018-05-02 |
Last Update Date | 2020-11-03 |