| NPI | 1306464193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN73183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN152323) |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: ME MT6247) | |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |