| NPI | 1780125708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1035034) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN52511) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |