| NPI | 1124345897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 626845-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 00103209) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |