| NPI | 1215361068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN87841) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: RI LPN10445) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |