| NPI | 1801338090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN55242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN65410) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2016-11-05 |