| NPI | 1104336106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 280522) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: NC 280522) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-10-04 |