| NPI | 1083920722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 66103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 1207198) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 584699) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |