| NPI | 1649283326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN185427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN081781) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |