| NPI | 1245557693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 156654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 050633-21) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 6154481) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |