| NPI | 1194110551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2287060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN3287292) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |