| NPI | 1396181038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 269941) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA 269941) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2015-02-18 |