| NPI | 1467768192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME R058718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 63088A3-1) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2011-01-31 |