NPI | 1518382241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2289140) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR13960200) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2014-03-05 |