| NPI | 1528052438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 266212) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: FL RN9220564) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-08 |