| NPI | 1548564362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2262280) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 638566-1) |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |