| NPI | 1649572645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: RI RN34293) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN223566) |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-26 |