| NPI | 1336794106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 079726-21) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN215872) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |