| NPI | 1063823250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN45326) |
| 163W00000X Registered Nurse (Licence: CT 084627) | |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2014-05-11 |