| NPI | 1053730879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PR 30866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9369820) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |