| NPI | 1053694869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NC 242447) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NY 3303391) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |