| NPI | 1093141632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 92447) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist, Radiography (Licence: NE 4445) |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2024-07-17 |