| NPI | 1316956907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA MA135729) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E3724) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |