| NPI | 1811398084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 0461M) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064884-21) |
| 163W00000X Registered Nurse (Licence: MA RN2289864) | |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |