| NPI | 1003197799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN259849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN45662) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |