| 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 |