| NPI | 1215145586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 2286973) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MA 2850) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2015-12-31 |