| NPI | 1043479231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP1149172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 1149172) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |