| NPI | 1871093286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 061383) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2269295) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |