| NPI | 1376087379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN27823) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN110505) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |