| NPI | 1871083782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2310794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95120651) |
| 163W00000X Registered Nurse (Licence: ME RN62101) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |