| NPI | 1003285388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 176612) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: TN 38467) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |