| NPI | 1104132067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN257732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN40537) |
| Enumeration Date | 2010-08-28 |
| Last Update Date | 2010-08-28 |