| NPI | 1174074892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9407310) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R878831) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |