| NPI | 1063997542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NE 40663) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 40663) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-04 |