| NPI | 1790161073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN54303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN186906) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |