| NPI | 1568857936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2284553) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 868595) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |