| NPI | 1629580808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 054818-21) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0035463) |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |