| NPI | 1487083374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2299806) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0197429) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2015-12-29 |