| NPI | 1326231812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 199813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 074248) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |