| NPI | 1023499175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000109486) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9167619) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |