| NPI | 1144606435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 86910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT R38363) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |