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 |