| NPI | 1740474840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse College Health (Licence: MA 176232) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: MA 176232) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |