| NPI | 1538398698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 275476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 19539) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |