| NPI | 1770024333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2284122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0128855) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |