| 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 |