| NPI | 1366088783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28205348A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN74091) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |