NPI | 1740415215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN2258063) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: ID N-32951) |
Enumeration Date | 2009-05-27 |
Last Update Date | 2009-05-27 |