| NPI | 1285148122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2295776) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN2295776) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |