| NPI | 1104181445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN86754) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CT 067490) |
| 163WG0000X Registered Nurse, General Practice (Licence: NH 046055-21) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |