| NPI | 1578821724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0032110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 054823-21) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |