| NPI | 1023309002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN133267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 0260044449) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |