| NPI | 1265842017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN43968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN280511) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |