| NPI | 1215178652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001161449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R035549) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |