| NPI | 1043682164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2303544) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 106490) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |