| NPI | 1114185287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001070766) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-132507) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2013-10-09 |