| NPI | 1053746719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 209860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 556752) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2022-07-06 |