| NPI | 1285163386 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT E57186)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9451806)  | 
| 163W00000X Registered Nurse (Licence: MA RN2315573)  | |
| 163W00000X Registered Nurse (Licence: RI RN56996)  | |
| Enumeration Date | 2017-06-12 | 
| Last Update Date | 2017-06-12 |