| NPI | 1043306780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: KS 14-95583-102) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA 194470) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |