| NPI | 1851699490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME r037107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL rn1621272) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |