| NPI | 1124239249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: NH 027810-21) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NH 027810-21) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |