| NPI | 1609001205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME R055015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 190216) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |