| NPI | 1144681651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA 252207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 231234) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |