| NPI | 1194074021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: FL RN9298652) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5146618) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |