| NPI | 1205348091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN69308) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: ME CNA68238) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |