| NPI | 1053996207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9457788) | 
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: FL 9457788) | 
| Enumeration Date | 2021-03-09 | 
| Last Update Date | 2021-03-09 |