| NPI | 1346646767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2290923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 118010) |
| 163W00000X Registered Nurse (Licence: NE 48553) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |