| NPI | 1902053127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 170656) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1690532) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |