| NPI | 1013247501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 234038) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 64167) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-01-05 |