| NPI | 1013474675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CT 187556) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 029965) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2022-06-28 |