| NPI | 1013378553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 247508-30) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 315839-31) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2019-11-22 |